临床药师参与的138例患者抗感染治疗会诊与典型案例分析

Analysis of Anti-infective Therapy Consultation of 138 Patients and Typical Case Participated by Clinical Pharmacists

目的:分析临床药师参与的会诊病例抗感染治疗方案的制定与典型病例的药学监护过程,为临床药学工作持续改进提供参考。方法:收集医院2020年临床药师参与会诊的138例病例信息,分析会诊科室的分布、会诊建议的采纳率、临床治疗后的转归等情况,以及会诊过程中遇到的典型案例和疑难案例的药学监护。结果:138例会诊病例中,完全接纳药师建议(意见)的占82.61%,部分接纳的占13.77%,未接纳的占3.62%;其中抗菌药物使用会诊占97.83%。结论:临床药师参与临床药物治疗逐渐被医、护、患所认可,且初显其在合理用药中的重要性,提高了药师专业水平和工作地位。

Objective:To analyze the formulation of anti-infective treatment protocol for consulting cases and the pharmaceutical care of typical cases participated by clinical pharmacists so as to provide reference for the continuous improvement of clinical pharmacy work.Methods:The information of 138 cases of consultation participated by clinical pharmacists in the hospital in 2020 was collected to analyze the distribution of consultation departments,the recommended adoption rate of consultation,the outcomes after clinical treatment,and the pharmaceutical care of typical cases and difficult cases encountered in the consultation process.Results:Among the 138 consultation cases,82.61% fully accepted the pharmacist’s advice(or opinion),13.77% partially accepted,and 3.62% did not accept.Among them,the consultations on the usage of antibacterials accounted for 97.83%.Conclusion:The participation of clinical pharmacists in drug therapy is gradually recognized by doctors,nurses and patients,and their important role in rational drug usage is initially shown,which improves the professional level and work status of pharmacists.